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It's a 4 only based on graphical changes.
If our weapons have increased damage then why does it take a full clip to kill one bloodsucker and 1/2 a clip to kill a single snork then we go into pistoling mutant boars/pigs - it took me 150 rounds to kill about 7 close range.
It also seems like headshot damage for mutants is ignored.
1 hit results in your armor disappearing.
This mod seems like it would only work if you had all your end-game gear at the beginning.